Individual provider Active NPI

Javier S Delgado, LCSW

  • Social Worker
  • New York, NY
National Provider Identifier
1740558998
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
084580 Issued in NY
Practice address
3940 Broadway
Second Floor
New York, NY 10032-1534
Phone
(212) 781-5000
NPI assigned
Dec 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 084580 NY Primary

Addresses

Primary practice location

3940 Broadway
Second Floor
New York, NY 10032-1534

Mailing address

245 Lawton Avenue
Apartment C-1
Cliffisde Park, NJ 07010
Phone (646) 408-3978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240108004575 NJ Practitioner - Clinical Social Worker 0648570986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vicki Barnett Psy D PCGroup PAC ID 4183645575, 15 clinicians

Practice addresses (Care Compare)

525 Monmouth St
Jersey City, NJ 07302-1527
Phone (201) 656-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
084580NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vicki Barnett Psy D PC CurrentSince Nov 28, 2023 Accepting new patients

Locations

525 Monmouth St
Jersey City, NJ 07302
Phone (201) 653-8800

1 Madison Ave
Morristown, NJ 07960
Phone (973) 285-2055

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1740558998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 LAWTON AVENUE",
            "address_2": "APARTMENT C-1",
            "city": "CLIFFISDE PARK",
            "state": "NJ",
            "postal_code": "07010",
            "telephone_number": "646-408-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 BROADWAY",
            "address_2": "SECOND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321534",
            "telephone_number": "212-781-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "JAVIER",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-02",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "084580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.